Individual
DR. JACK WALKER PASCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 227-3450
Mailing address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 461-0811
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
058808
GA
Other
Enumeration date
02/26/2007
Last updated
07/10/2007
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